videolaparoscopia e cateteri per dialisi peritoneale: come, quando, perche stefano santarelli
TRANSCRIPT
![Page 1: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/1.jpg)
VIDEOLAPAROSCOPIA E VIDEOLAPAROSCOPIA E CATETERI PER DIALISI CATETERI PER DIALISI
PERITONEALE: PERITONEALE: COME, QUANDO, COME, QUANDO,
PERCHE’PERCHE’
Stefano Santarelli
![Page 2: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/2.jpg)
U. O. Nefrologia e Dialisi – Jesi
DA DOVE VENIAMO?
Accessi peritoneali anni ’50
• collettori di gomma e vetro
• cannule metalliche
• sondini naso-gastrici
• sondini per O2
![Page 3: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/3.jpg)
ACCESSO PERITONEALE
U. O. Nefrologia e Dialisi – Jesi
Tenchkoff H. et al.: A batteriologically safe peritoneal access device. TASAIO 14 (1968) 181
Catetere in silastic con manicotti in dracon
![Page 4: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/4.jpg)
U. O. Nefrologia e Dialisi – Jesi
ACCESSO PERITONEALE
Catetere di Tenckhoff dritto a due cuffie
![Page 5: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/5.jpg)
TECNICHE DI IMPIANTO
U. O. Nefrologia e Dialisi – Jesi
Percutanea Con trocar Chirurgica
![Page 6: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/6.jpg)
U. O. Nefrologia e Dialisi – Jesi
TECNICHE DI IMPIANTO
Videolaparoscopica
![Page 7: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/7.jpg)
U. O. Nefrologia e Dialisi – Jesi
Crabtree J.H. Perit Dial Int 2009; 29:394-406
REVISIONE DELLA LETTERATURA
159 ARTICOLI
![Page 8: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/8.jpg)
U. O. Nefrologia e Dialisi – Jesi Crabtree J.H. Perit Dial Int 2009; 29:394-406
REVISIONE DELLA LETTERATURA
![Page 9: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/9.jpg)
U. O. Nefrologia e Dialisi – Jesi Crabtree J.H. Perit Dial Int 2009; 29:394-406
REVISIONE DELLA LETTERATURA
![Page 10: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/10.jpg)
U. O. Nefrologia e Dialisi – Jesi Crabtree J.H. Perit Dial Int 2009; 29:394-406
REVISIONE DELLA LETTERATURA
![Page 11: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/11.jpg)
U. O. Nefrologia e Dialisi – Jesi
TRIAL RANDOMIZZATO
Wright M.J. Perit Dial Int 1999; 19:372-375
![Page 12: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/12.jpg)
U. O. Nefrologia e Dialisi – Jesi
PAZIENTI
Wrigth M.J. Perit Dial Int 1999; 19:372-375
![Page 13: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/13.jpg)
U. O. Nefrologia e Dialisi – Jesi
COMPLICANZE
Wrigth M.J. Perit Dial Int 1999; 19:372-375
![Page 14: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/14.jpg)
U. O. Nefrologia e Dialisi – Jesi
SOPRAVVIVENZA DEL CATETERE
Wrigth M.J. Perit Dial Int 1999; 19:372-375
![Page 15: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/15.jpg)
U. O. Nefrologia e Dialisi – Jesi
TRIAL RANDOMIZZATO
Gadallah M.F. Am J Kidney Dis 1999; 33:118-122
![Page 16: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/16.jpg)
U. O. Nefrologia e Dialisi – Jesi
PAZIENTI
Gadallah M.F. Am J Kidney Dis 1999; 33:118-122
![Page 17: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/17.jpg)
U. O. Nefrologia e Dialisi – Jesi
COMPLICANZE
Gadallah M.F. Am J Kidney Dis 1999; 33:118-122
![Page 18: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/18.jpg)
U. O. Nefrologia e Dialisi – Jesi Gadallah M.F. Am J Kidney Dis 1999; 33:118-
122
SOPRAVVIVENZA DEL CATETERE
![Page 19: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/19.jpg)
U. O. Nefrologia e Dialisi – Jesi
TRIAL NON RANDOMIZZATO (PAZIENTI CONSECUTIVI)
Soontrapornchai P. Surg Endosc 2005; 19:137-139
![Page 20: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/20.jpg)
U. O. Nefrologia e Dialisi – Jesi
PAZIENTI
Soontrapornchai P. Surg Endosc 2005; 19:137-139
![Page 21: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/21.jpg)
U. O. Nefrologia e Dialisi – Jesi
COMPLICANZE
Soontrapornchai P. Surg Endosc 2005; 19:137-139
![Page 22: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/22.jpg)
U. O. Nefrologia e Dialisi – Jesi
SOPRAVVIVENZA DEL CATETERE
Soontrapornchai P. Surg Endosc 2005; 19:137-139
![Page 23: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/23.jpg)
U. O. Nefrologia e Dialisi – Jesi
METANALISI
J Am Soc Nephrol 2004; 15:2735-2746
![Page 24: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/24.jpg)
U. O. Nefrologia e Dialisi – Jesi
“FLOWCHART” CITAZIONI
Strippoli G.F. J Am Soc Nephrol 2004; 15:2735-2746
![Page 25: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/25.jpg)
U. O. Nefrologia e Dialisi – Jesi
LAPAROSCOPIA vs LAPAROTOMIA
Strippoli G.F. J Am Soc Nephrol 2004; 15:2735-2746
![Page 26: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/26.jpg)
CASISTICA JESI
U. O. Nefrologia e Dialisi – Jesi
![Page 27: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/27.jpg)
U. O. Nefrologia e Dialisi – Jesi
INDICAZIONI E DIAGNOSI
Santarelli S. Nephrol Dial Transplant 2006; 21:1348-1354
![Page 28: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/28.jpg)
U. O. Nefrologia e Dialisi – Jesi
SOPRAVVIVENZA CATETERE
Santarelli S. Nephrol Dial Transplant 2006; 21:1348-1354
![Page 29: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/29.jpg)
U. O. Nefrologia e Dialisi – Jesi
VLS + OMENTOPESSIA vs OPEN
Öğǜnç G. Surg Endosc 2003; 17:1749-1755
![Page 30: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/30.jpg)
U. O. Nefrologia e Dialisi – Jesi
OMENTOPESSIA
Öğǜnç G. Surg Endosc 2003; 17:1749-1755
![Page 31: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/31.jpg)
U. O. Nefrologia e Dialisi – Jesi
COMPLICANZE
Öğǜnç G. Surg Endosc 2003; 17:1749-1755
![Page 32: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/32.jpg)
U. O. Nefrologia e Dialisi – Jesi
SOPRAVVIVENZA CATETERE
Öğǜnç G. Surg Endosc 2003; 17:1749-1755
P = 0.019
P = 0.023
21 pz. VLP
21 pz. OPEN
![Page 33: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/33.jpg)
U. O. Nefrologia e Dialisi – Jesi
TUNNELLIZAZIONE EXTRAPERITONEALE
Öğǜnç G. Perit Dial Int 2005; 25:551-555
![Page 34: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/34.jpg)
U. O. Nefrologia e Dialisi – Jesi
TUNNELLIZZAZIONE NEL RETTO
Öğǜnç G. Perit Dial Int 2005; 25:551-555
![Page 35: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/35.jpg)
U. O. Nefrologia e Dialisi – Jesi
OSTRUZIONI DI FLUSSO
Öğǜnç G. Perit Dial Int 2005; 25:551-555
• 44 pazienti consecutivi VLS
(0% ostruzioni di flusso)
vs
• 35 pazienti precedenti OPEN
(22.8% wrapping omentale – 17.1% dislocazioni)
![Page 36: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/36.jpg)
U. O. Nefrologia e Dialisi – Jesi
LAPAROSCOPIA AVANZATA
Crabtree J.H. Am Surg 2005; 29:135-143
![Page 37: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/37.jpg)
U. O. Nefrologia e Dialisi – Jesi
“TWO PORT TECHNIQUE”
Crabtree J.H. Am Surg 2005; 29:135-143
![Page 38: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/38.jpg)
U. O. Nefrologia e Dialisi – Jesi
TUNNELLIZZAZIONE NEL RETTO
Crabtree J.H. Am Surg 2005; 29:135-143
![Page 39: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/39.jpg)
U. O. Nefrologia e Dialisi – Jesi
OMENTOPESSIA
Crabtree J.H. Kidney Int 2006; 70:S27-S37
![Page 40: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/40.jpg)
U. O. Nefrologia e Dialisi – Jesi
RISULTATI
Crabtree J.H. Am Surg 2005; 29:135-143
![Page 41: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/41.jpg)
U. O. Nefrologia e Dialisi – Jesi
Crabtree J.H. Perit Dial Int 2009; 29:394-406
REVISIONE DELLA LETTERATURA
159 ARTICOLI
![Page 42: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/42.jpg)
U. O. Nefrologia e Dialisi – Jesi
SOPRAVVIVENZA CATETERE
Crabtree J.H. Perit Dial Int 2009; 29:394-406
![Page 43: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/43.jpg)
U. O. Nefrologia e Dialisi – Jesi
CONCLUSIONI
The carry-on values that laparoscopy bringhs to the cateter implantation procedure that minimize the risk of catheter migration, pericateter leak and hernia, omental entrapment, and flow obstruction include the progressive practices of rectus sheath tunnelling, omentopexy, salpingectomy...
…laparoscopy provides THE HIGHEST probability of achieving successful long-term peritoneal access.
Crabtree J.H. Perit Dial Int 2009; 29:394-406
![Page 44: VIDEOLAPAROSCOPIA E CATETERI PER DIALISI PERITONEALE: COME, QUANDO, PERCHE Stefano Santarelli](https://reader036.vdocument.in/reader036/viewer/2022062307/5542eb4c497959361e8b9b8e/html5/thumbnails/44.jpg)
Che schifo!!
Grazie per avermi ascoltato